Individual
MICHAEL H DESHAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6325 HUMPHREYS BLVD, MEMPHIS, TN 38120-2300
(901) 522-7700
(901) 522-2550
Mailing address
6325 HUMPHREYS BLVD, MEMPHIS, TN 38120-2300
(901) 522-7700
(901) 522-2550
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD07728
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3166245
—
TN
Enumeration date
10/18/2005
Last updated
02/10/2012
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